HomeMy WebLinkAboutPermit Mechanical 1999-06-04CO M M ERCIALI I N DU STRIAL
PERMIT APPLICATION
225 Fillh Street, Sprirrgfield, Oregon 97477
LOCATION OF PFIOPOS
ASSESSORS MAP:
59,,?4
JOB NUMBER
INSPECTION LINE: 726-3769
OFFICE: 726-3759
TAX LOT
SPNINGFICLO
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)y>-aq >{PHONE:
?=t2{ZIP:z2-STATE:
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"r/OWNER:
ADDFIESS:
CITY:
S, r/24
NEW
-._
REMODEL ADDITION DEMOLISH OTHEH VALUE:
/
DESCRIPTION OF WOBK:t+1:6
PHONEADDRESSNAME
PHONEEXPIRESADDRESS
?,tt c7ol At.".-^
ELECTRICAL:
a/
MECHANICAL:rbzr.4a6"*
CONTRACTOR'S NAME
ABCHITECT:CONST.
CONTRACTOFI #
GENERAL:
PLUMBING
CHARGEFEE
Single Fixture
Relocated Bld
new lix.
-Water Service
f r.
Saniwy Sewer
ft
Storm Sewer
It.
Backflow Device
TOTAL PERMIT
Nr)
-CHABGF-F,EFFurnace/burner & vent
< 100,000 BTUs
Furnace/burner & vent
>100,000 BTUs
Floor furnace and vent
SuspenaEd wall or f loor
mounted unit heater
Appliance Vent
separate
Stationary evap.
cooler
--Veni-FanTSinsla
duct
Vent Sys
from AC
tem apart
or htg.
Mechanical exhausl
hood and duct
z{.a>[,'w4. Tb/e '3Dq
$10.00
3s? zTOTAL PERMIT l
- OFFICE USE -HANDICAP ACCESS
FLOOD PLAIN
LIGHTING POI^/ER BUDGET:
WATER HEATER:
ZONING:
LAND USE:
OCCY GROUP:
,Y OF STOBIES:
QUAD AREA:
E OF BLDGS:
CONSTR. TYPE
HEAT SOURCE:
I OF UNITS:
VALUE$/SQ. FT.SO. FT.
TOTAL VALUE OF PROJECT-
X
X
SO. FTG MAIN
SO. FTG ACCESS
SQ, FTG OTHER
RCPT#PLAN CHECK FEE BYDATE
BUILDING PERMIT PLUMBING DEMOLITION
57o State
Su
57" State
Su rc haroe
MECHANICAL FENCE
VALUE $
5 7o State
Su rcharq e
SIDEV/ALK
FT.
L
PERMITS
PAVING CURBCUT
FT.
SYSTEMS
DEVELOPMENT
TOTAL PERMIT FEES
EXCLUDING ELECTT]ICAL
s9.?z
??t' '
Permil lssuance
REQUIRED iNSPECTIONS
It is the responsibility of the permit hol<ler to sce that ail inspcctions are made at the prol)er time. To request an inspection, call
726-3769 (recorder), state your City designated job nurnbcr, job adclress, type of insl)cctiort rcquested and whcn you will be ready
for inspection. Flequests received before 7:00 a.m. will be made the same working day, requests made atter 7:00 a.m. will be made
the following work daY.
SITE INSPECTION: To be ROUGH PLUMBING, PAVING: After gravel is in
made af ter excavation, but ELECTRICAL & place but prior to placing
prior to setup of forms. MECHANICAL: No work is to asphalt or concrete.
be covered until these
ELECTRICAL & and approved. section 306 0f the state specialty code
MECHANICAL: To be made a special inspector shall be employed
before any work is covered. ATTIC DP.AFT STOPS & by the Owncr/ Contractor cluring
CURTAIN WALLS construction of the following work. A
FOOTINGS & FOUNDATTONS: copy ol the special testing reports shall
To be made ajter trenches are FIREPLACE: Prior to placing be furnished to the Buiiciing Division.
excavated and forms are facing materials and before
erected, all steel in place, but f raming inspection' STRUCTURAL CONCRETE: ln
prior to placing concrete. FRAMING: To be made after cxcess of 25o0 PS.l. (306 a.1)
coNcRETE SLAB: To be the roof' all framing' fire
made af ter ar insrab buirdins Bl::|::.':fl B;';ff?,i';;:r" BInS'?JyX3.t,Y5f3ot',rrr, ,,
service equipment, conduit, and vents are'complete anrl
:#,1,?,i"""",:;il:? ?H:'::J ::".'fl::[#t"ii:,1'I,j;[ill: Bli,:f],?::?T[3,',;;HX".in place but before any tightening operations. (306
concrete is placed. INSULATION & VApOR a.6)
BARRIER: To be made a(ter all
UNDERGROUND: Plumbing, insulation and required vapor SpRAyED ONelectrical, gas, sanitary sewer, barriers are in place but FIREpBOOFING: U.BC.storm sewer, water and before any lath or gypsum Standards 43-8.drainage lines. To be made board interior wall covering is
prior to covering or f iliing applied. S'ECIAL GRAD,NG,trenches.
,NDERFL..R: p,umbins Il1:,5=;'f;X#J3[[3''-' il:il1!i]-tiP,5Jb'j],"1
electrical, mechanical. Jo be according to plans' chapter 29)
made prior to installaticjn of
tloor insulation, decking or LATH AND/oR GYPSUM - GLU'LAM BEAMS: lnspection
f loor sheathing. BOARD: To be rnade after all Certificate by an approved
lathing and gypsum boarcJ, agency, furnished to the city's
posT & BEAM: To be made interio] and exierior, is in Building Division before
prior to installation of floor place but before any beams are placed' (2501 u'Bc'
insulation, decking or floor plastering is appliecl or before STDS' 25'10'11)'
sheathing.gypsumboardjointsand fasteners are taped ancl STRUCTURAL MASONRY: (306
FLooR lNsuLATroN & finished' a'71
VAPOR BARRIEBS: To be
made prior to installation of
decking or floor sheathing.
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
uBc 2415.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof covei'!ng.
SIDEWALK & DRIVEWAY:
Required for all concrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub-base material in
place.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
-ln addition to the inspec-
tions specified, the Building
Oflicial may make or require
other inspections o, any
construction work to ensure
compliance with lhe Building,
City or Development Code-
By signature, lstate and agree, that I have carefully examined the completecl rpplication and do lrcreby certify that all information
lterein is true and correct. and I further cerlify that any and all work performed shall bc done in accordance with the Ordinances
of ttre City of Springfield, and the Laws of the State of Oregon pertaining to the work describcd herein, and that NO OCCUPANCY
will be made of any structure without permission of the Building Salety Division. I further certify that only contractors and employees
who are in compliance with ORS 701.055 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that project address is readable f rom the
property and the approved set of plans will remain on the site at all
Signature Date 4-/-zz
f thestreet, that the Pe rmit card is lgcated at
times during construction
35.f t-,VALIDATION o
3EIPT #:
RECEIVED:
RECEIVED BY:
DATE PAID:
FINAL PLUMBING
FINAL ELECTRICAL
L MECHANICAL
FINAL FIRE OEPARTMENT
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All project conditions such as
landscaping, parking lot striping, etc. must be completed before
requesting this inspection.
FINAL BUILDING: Requestcd af ter thc final plumbing, elcclrical,
mechanical and Fire Depaltment inspections are made and
approved. No occupancy of the premrscs can be made until a
Certificate o[ Occupancy has been issued by the Buil<Jing Division
and posted on the prcmises.
ADDITIONAL COMMENTS:
-
PLANS REVIEWED BY DATE
225 FIFTE STRXET Date
1. LOCATION OF INSTAILATI
The following project as submitted has the following
zoning. and does not require specific land use
approval
Zoning
-7 - 1-:-t
,tr,*\
ELECTRICAI PERHIT APPLICATION
SPf 'n!';FIELO
fotlow rule$ ado
Q qolb r
hfi,
s pRINGFT ELD, 0RXqgi,ho9/dy'Sionature
TNSPECTION REQUESTz 726-3769
0FPICE: 726-3759
Ci ty Job Number
3. COHPLETE FEE SCMDULE BELOV
1tr cffiSr&ff{Tl- oi, Kcir
A. Neu R
MuIti
Servi
1000
Each
sq.
ther
Each r
Modu
SerV
esidential-Single or
-Family per dvelling unit.
ce s\q$gt'lst:*I tems Cos t i
enter. Thos e rules are set
to
iiity 5um
lorthTHIS PERMIT SHALL EXPIRE IF THE WORK
J THISPEHMITlSNOT
Permi t6ly{
rt vorl( 1s
rable and expire
vi thin 180 daysof issuance or if vork is suspended for
180 days.
y't1a+/627s
Cons t r Con t r. Number //O 6 1,7
Expiration Date et/^ O( - o /
Signature of Supervising Electrician
t
e
M
1
ice or Feeder
s 8s.00 -001-
n copies o{ the rutes by
s 40.00
no s tar
2. CONTRACTOR INSTALLATION 0IILY B. Services or Feeders
Installation, Alterations
Elec trical Con trac torMaL a*1.,Aor Relocation :
Ad d ress L 200 amps or less -l-201 amps to 400 amps
401 amps to 600 amps
-60L amps to 1000 amps-
Over 1000 amps/volts
-Reconnect Only
citvla\R'{l Phone ?24^6oi!-2
Supervisor License Number
Expiration Date o- <>
SOs s0.00
s 60.00
s100.00
s130.00
s300.00
s 40.00
q3<
ciry <?,k<fufl Phone-_r--_U_
OI]NER TNSTALLATION
The installation is being made on
property I ovn which is not intended
for saIe, lease or rent.
Ovners Signature:
DATE
RECE
C Temporary Services or FeedersInstaLlation, Alteration or Rel-ocation
200 amps''or less S
201 amps to 400 amps
-
$
Over 40L to 600 amps
-
$0ver 600 amps or 1000-vofTs se
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00.
Each Addi tional
Circuit or vith Serviceor Feeder Permit lO S 2.00 ?/O
i. Miscellaneous (Service/feeder not included)
-Each installati.on
Pump or i.rrigation
Sign/0utline Lighting
Limi ted Energy/Res
Limited Energy/Comm
40.00
55.00
mve
80.00
e rBil a'
Ovners Name
Add ress L**
s
)
s
s
40. 00
40. 00
20.00
36.00
o5SUBTOTAL OF ABOVE
1/,1" State Surcharge
3Z Administrative Fee
TOTALRECETVED B
-NTE-
-+-
(Note:
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